Internal Medicine
24 ON PHYSICIAN NEW YORK, PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1285799163 · enumerated 2006-12-22 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DAN FULLER, President · (770) 740-0895
Addresses and phones
- Mailing address PO BOX 403631, ATLANTA, GA, 30384-3631 (770) 740-0895 Fax (770) 740-0896 Google Maps Apple Maps OpenStreetMap
- Practice location 101 DATES DR, ITHACA, NY, 14850-1342 (607) 274-4191 Fax (607) 274-4198 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
-
Practice location
ITHACA, NY, 148501342
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.